Nephrol Dial Transplant (2004) 19: 541-543
Nephrol Dial Transplant Vol. 19 No. 3 (c) ERA-EDTA 2004; all rights reserved
Personal Opinion
Paid transplants in India: the grim reality
Postgraduate Institute of Medical Education and Research, Chandigarh, India
Correspondence and offprint requests to: Dr Vivekanand Jha, Associate Professor of Nephrology, Postgraduate Institute of Medical Education and Research, Chandigarh 160 012, India. Email: vjha@pginephro.org
Keywords: India; kidney donation; paid transplants; transplant tourists; unrelated donors
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Commercial transplants are performed in several countries, but a combination of trained transplant personnel, large impoverished population and lack of any law governing organ transplantation made India the hub of this activity in the late 1980s. Reports of large-scale transplants using kidneys bought from economically deprived living donors under questionable circumstances from different parts of the country attracted worldwide condemnation. After a lot of media criticism, the Indian Parliament passed an act in 1995 banning payment for organ donation. The practice, however, has continued, and paid transplants are still being performed in several parts of the country [1,2].
A gradual change has been observed over the last few years in the attitude of western transplant professionals towards unrelated transplants. Concerns about the continuing organ shortage have prompted calls for legalizing transplants using organs donated by strangers [2]. The excellent outcome of genetically unmatched kidney
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